Search › Texas › 363A00000X
Souksavanh Phanthavong, PA-C
NPI 1619222874 · on the registry since 2012
Practice
- Address
- 4001 Long Prairie Rd Ste 125
Flower Mound, TX 75028 - Phone
- (972) 539-3030
- Fax
- (972) 539-3037
- Organisation at this address
- Live Well Rx Llc
Bristol Pharmacy Llc
Angelie V. Zamora, Dds
Smiles Family Dental P.C.
Lewisville Obstetrics & Gynecology Associates, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Additional practice sites
- 941 E Park Row Dr, Arlington, TX
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas